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1215034012
STEVEN MICHAEL FANUCCHI
FREMONT, CA
NPI
1215034012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 35555)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Mr. STEVEN MICHAEL FANUCCHI M.F.T.
3775 BEACON AVE 2ND FLOOR
FREMONT, CA 94538-1465
Phone number: 510-792-4964
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Mailing Address
Mr. STEVEN MICHAEL FANUCCHI M.F.T.
35552 PALOMARES RD
CASTRO VALLEY, CA 94552-9631
Phone number: 510-886-5391
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